Evidence map›Paper›PMID 28671889›Full record

ArticleAnnals of plastic surgery2017

Cell-Based Soft Tissue Reconstruction in a Hydrogel Scaffold.

Charles P Blackshear, John S Flacco, Stephanie M Vistnes, Natalie N Chung, Dre Irizarry, Elizabeth A Brett, Derek J Yen, Arash Momeni, Michael T Longaker, Derrick C Wan

Abstract readComparative Study
In one paragraph

Article in Annals of plastic surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Charles P BlackshearFrom the *Hagey Laboratory for Pediatric Regenerative Medicine, Plastic and Reconstructive Surgery Division, Department of Surgery, and †Institute for Stem Cell Biology and Regenerative Medicine, Stanford University School of Medicine, Stanford, CA.
John S Flacco
Stephanie M Vistnes
Natalie N Chung
Dre Irizarry
Elizabeth A Brett
Derek J Yen
Arash Momeni
Michael T Longaker
Derrick C Wan

Funding

Induced pluripotent stem cells in the understanding and treatment of heart diseaseU01HL099776 · NHLBI · STANFORD UNIVERSITY · PI LONGAKER, MICHAEL T, WU, JOSEPH C. · 2009 to 2015
$8.2M
Osteogenic Enrichment of Adipose Derived Stromal CellsR01DE021683 · NIDCR · STANFORD UNIVERSITY · PI GURTNER, GEOFFREY C, LONGAKER, MICHAEL T · 2012 to 2016
$2.0M
Defining BMP-responsive lncRNA for bone regenerationK08DE024269 · NIDCR · STANFORD UNIVERSITY · PI WAN, DERRICK · 2014 to 2018
$632k
Enhancing Bcl-2 Expression for Bone Regeneration.R21DE024230 · NIDCR · STANFORD UNIVERSITY · PI LONGAKER, MICHAEL T · 2014 to 2015
$443k
NHLBI NIH HHS U01 HL099776NIDCR NIH HHS K08 DE024269NIDCR NIH HHS R01 DE021683NIDCR NIH HHS R21 DE024230
6 · The paper itself

Abstract

backgroundRenevia is a hyaluronin-gelatin crosslinked matrix scaffold that has been studied as an alternative to adipose transfer in soft tissue reconstruction. It is designed to emulate the native extracellular matrix environment by supporting stromal vascular fraction (SVF) cell attachment, survival, and proliferation, thus promoting cell-based volume restoration. However, the concentration of incorporated cells for a clinically relevant result has yet to be determined.

methodsFive experimental groups of seven CD-1 nude immunodeficient mice were given 250 μL grafts of the following composition: 1 million human SVF cells per mL of Renevia scaffold, 6 million human SVF cells per mL scaffold, 12 million human SVF cells per mL scaffold, Renevia scaffold-alone or human adipose tissue-alone. Volumetric analysis was conducted at discrete time points over 16 weeks using 3-dimensional ultrasound, after which time the grafts were explanted for histologic analysis.

resultsAt the conclusion of the study at week 16, the Renevia scaffold group incorporating the highest concentration of human SVF cells (12 million cells per mL scaffold) had significantly greater volume retention compared with the 2 lower concentrations, scaffold-alone and fat-alone groups. Histology of the 12 million scaffold group revealed abundant adipocyte formation within the scaffold, exceeding that observed in the 6 million, 1 million, and scaffold-alone groups. The 12 million group also demonstrated significantly increased vascularity per CD31 staining.

conclusionsStromal vascular fraction cells coupled with Renevia hydrogel scaffold can enhance soft tissue volume reconstruction. In this study, we observed the greatest effect with 12 million cells per mL. From the perspective of volume retention, incorporation of higher concentrations of SVF cells with Renevia may be an alternative to conventional adipose tissue grafting.

Indexed as

Hydrogel, Polyethylene Glycol DimethacrylateTissue ScaffoldsAdipocytesAdipose TissueAnalysis of VarianceAnimalsDisease Models, AnimalFemaleGraft RejectionGraft SurvivalMaleMiceMice, NudePlastic Surgery ProceduresRandom AllocationSensitivity and SpecificityHydrogel, Polyethylene Glycol Dimethacrylate

Identifiers

PMID28671889
PMCPMC5677558

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.